ID & Rheum Flashcards
Most specific antibodies for SLE?
Anti DS DNA and anti smith
What serotypes are covered by MCV4?
A, C, Y, W-135
Complication of pelvic osteo
abscess, seen in boys ~8 yrs old, right-sided, staph aureus, pain referred to hip/thigh/abdomen, MRI or bone scan studies of choice
HIV screening >18 mo of age
EIA is preferred, whether mom is infected or not (prior to 18 mo can use PCR)
Confirm with western blot
tx of campylobacter
none needed unless worsening or persistence of symptoms, then use azithromycin
Maternal HIV, recommendations on testing baby
HIV DNA PCR at birth, 2 mo, 4 mo, 6 mo
primary cause of occult bacteremia (fever without other signs)
strep pneumo
most common cause of SBP?
most common cause in nephrotic syndrome pt?
e. coli s pneumo (encapsulated,low IgG)
most common complication of chronic peritoneal dialysis
staph epidermidis peritonitis
nitazoxinde is used to treat which diarrheal illnesses?
giardia and cryptosporidium
which rickettsial disease is spread by inhalation of infected particles not tick bite
Q Fever
flu sx, PNA, no rash, Tx with doxy
when should you treat cat scratch?
supportive care for bartonella henselae unless HSM, large painful adenopathy, immunocompromised host
Tx: Macrolide or Bactrim or rifampin or cipro
when to treat salmonella diarrhea?
<3 mo, cancer pt, severe colitis, immunocompromised
tx with cefotaxime or ceftriaxone
tx of brucellosis
on a dairy farm with fevers and myalgias
tetracycline or Bactrim plus Rifampin
se of methotrexate
hepatitis
